Organization
QUEENS NEUROPSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELSA LEE PH.D. (PSYCHOLOGIST/OWNER)
(646) 389-2283
Entity
Organization
Contact information
Practice address
25418 NORTHERN BLVD STE 3, LITTLE NECK, NY 11362-1451
(646) 389-2283
Mailing address
3233 202ND ST, BAYSIDE, NY 11361-1017
(646) 389-2283
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
09/11/2019
Last updated
01/02/2020
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